ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
NPI: 1063671469
· POCATELLO, ID 83201
· 261QM0850X
$3.91M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,825 |
$359K |
| 2019 |
4,370 |
$380K |
| 2020 |
2,200 |
$233K |
| 2021 |
1,789 |
$60K |
| 2022 |
1,546 |
$60K |
| 2023 |
4,188 |
$1.27M |
| 2024 |
5,196 |
$1.54M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Com wrap-around sv, per diem |
6,583 |
226 |
$2.69M |
| H2015 |
Comp comm supp svc, 15 min |
7,620 |
474 |
$930K |
| S5100 |
Adult daycare services 15min |
7,911 |
613 |
$288K |